Individual provider Active NPI

Kathryn Rena Denham, MSW

  • Clinical Social Worker
  • Vacaville, CA
National Provider Identifier
1881730513
Registry record updated Sep 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS 13285 Issued in CA
Practice address
419 Elizabeth St
Ste 5
Vacaville, CA 95688-4602
Phone
(707) 399-9540
Fax
(707) 447-1529
NPI assigned
Jan 29, 2007
Last updated
Sep 20, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCS 13285 CA Primary

Addresses

Primary practice location

419 Elizabeth St
Ste 5
Vacaville, CA 95688-4602

Mailing address

419 Elizabeth St
Ste 5
Vacaville, CA 95688-4602
Phone (707) 447-4453

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110506000185 CA Practitioner - Clinical Social Worker 2365627304 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

419 Elizabeth St
Suite 5
Vacaville, CA 95688-4602
Phone (707) 447-4453

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCS 13285CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Denham Counseling Center Inc Clinical CurrentSince Dec 22, 2019 Accepting new patients

Locations

419 Elizabeth St
Ste 5
Vacaville, CA 95688
Phone (707) 399-9540

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568937600000",
    "number": "1881730513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 ELIZABETH ST",
            "address_2": "STE 5",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956884602",
            "telephone_number": "707-447-4453",
            "fax_number": "707-447-1529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 ELIZABETH ST",
            "address_2": "STE 5",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956884602",
            "telephone_number": "707-399-9540",
            "fax_number": "707-447-1529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENHAM",
        "first_name": "KATHRYN",
        "middle_name": "RENA",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-29",
        "last_updated": "2019-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS 13285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vacaville, CA

Sources for this page

Verify at the official NPI Registry.